KANSAS KIDS DENTAL LLC
NPI 1457099210
Dentist - General Practice in Olathe, KS

Active since May 23, 2022
12708 S BLACKBOB RD STE B, OLATHE, KS 66062(480) 866-8811 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kansas Kids Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANSAS KIDS DENTAL LLC (NPI 1457099210) is a healthcare organization registered as a general practice in Olathe, Kansas and active in the NPI registry since May 2022. The organization lists Teresa Zwicky, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1457099210
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKANSAS KIDS DENTAL LLC
Location Address12708 S BLACKBOB RD STE BOlathe, KS 66062-1409
Mailing Address5717 E Thomas Rd Ste 100Scottsdale, AZ 85251-7620 · (480) 866-8811 · Fax (602) 429-8200
Organization SubpartNo
Authorized OfficialTeresa ZwickyCredentialing Manager · (480) 866-8811
Enumeration DateMay 23, 2022
NPPES CertifiedMay 23, 2022
NPI 1457099210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12708 S BLACKBOB RD STE B, Olathe, KS 66062

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
12708 S BLACKBOB RD STE B
OLATHE, KS 66062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kansas Kids Dental LLC's NPI number?

The NPI number for Kansas Kids Dental LLC is 1457099210. It was assigned to this organization in the NPPES registry on May 23, 2022.

Where is Kansas Kids Dental LLC located?

Kansas Kids Dental LLC is located at 12708 S Blackbob Rd Ste B, Olathe, KS 66062. The listed phone number is (480) 866-8811.

What is Kansas Kids Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kansas Kids Dental LLC was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.